2019-11-12T15:22:23-07:00 2018-12-31 990 2018-01-01 341040692 ST AUGUSTINE MANOR STAU 2166347400 7801 Detroit Avenue Cleveland OH 44102 Francis Huba CFO 2166347555 2019-11-01 12.168.86.2 2018 2020-04-17 16:48:07Z Rick Meserini 7801 Detroit Avenue Cleveland OH 44102 36260565 0 X www.staugustinehealthministries.org X 1969 OH St. Augustine Manor dba St. Augustine Health Ministries provides skilled nursing and community based services including; an early education and child day care, assisted living, rehabilitation, long-term care, home delivered and congregate meals, home care and hospice care. 21 20 780 647 0 0 3313131 4251598 30030166 31235069 62271 55408 743023 690228 34148591 36232303 0 0 0 0 23397682 24438916 0 0 196536 10552877 10938016 33950559 35376932 198032 855371 25486510 25353046 5081408 4770579 20405102 20582467 St. Augustine Health Ministries continues the healing ministry of Christ by promoting the quality of life and independence of each person entrusted to our care through a continuum of health care and related services to the chronically ill and aging of our community with special concern for the poor. We promote the sacredness of life in a community that celebrates purpose, individuality, companionship and well-being. 0 0 22419483 0 21634252 Skilled Nursing Home Care: 234 bed skilled nursing facility with an in-house Pharmacy and on-site dialysis. The facility was deemed deficiency-free by Ohio Department of Health in August, 2017. All patient floors were remodeled/renovated in 2015, including our 67 bed skilled care unit. A Respiratory Wing was added in 2018 and renovations to the rest of the building continue into 2020. We are a 4 star facility according to CMS ratings. We placed 41st on the Plain Dealer's top 50 work places for mid-sized companies, and were the only Skilled Nursing Facility to make the list. We specialize in Pulmonary Care, Rehabilitation, Cardio Vascular Diseases, Infectious Diseases, Wound Care, HIV Care, Respiratory and Clinically-Complex Nursing Care. We partnered with all major hospital systems in greater Cleveland ensuring seamless transitions to a sub-acute setting for patients who are followed by the system's attending physician. We had 710 new admissions in 2018. 5635074 0 6027216 Medicare-Certified Hospice: Community hospice services extending beyond Cuyahoga County into Summit, Medina and Lorain Counties, as well as a newly remodeled 30 bed inpatient facility with 16 private rooms. With an average daily census of over 80 patients, Holy Family Home/Hospice served over 598 patients in 2018 and provided nearly $958,000.00 of free charity care. Holy Family Home and Hospice partnered with the Sisters of Charity Health System allowing palliative care residents from St. Vincent Medical Center to complete part of their medical rotation at Holy Family Home. 2271382 0 2618796 Assisted Living Facility: St. Augustine Towers is a licensed residential care facility with 99 apartments, daily Mass in our chapel and a capacity to serve 110 residents. The Towers had perfect surveys in 2018 by both the Ohio Department of Health and the Western Reserve Area Agency on Aging. The Towers has been a part of the Medicaid waiver program through WRAAA since 2007 serving approximately 24 residents a month under this program which allows a qualified AL waiver recipient to receive rent subsidies affording them an apartment and all offered amenities. The Towers also serves persons with a VA benefit earned during armed conflict for which the veteran or the spouse receives a monthly stipend that is used for rent. The Towers is contracted with the PACE program, a Medicaid waiver program that also subsidizes qualified AL waiver recipients to afford monthly rent and provides physician services and medical care allowing residents to age in place. Throughout 2018 we averaged 40 residents on the PACE program. Our 2018 occupancy of 97% is well above national and state averages demonstrating our consistently high resident/family satisfaction. 775982 0 954805 Home Health Care Agency and other programs. 775982 0 954805 31101921 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 125 0 1 780 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 21 20 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X X Francis S Huba 2166347400 7801 Detroit Avenue Cleveland OH 44102 Bishop Nelson Perez Board Member 1 0 X 0 0 0 Patrick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities 1 39 X 0 213338 35070 Mark Seryak Board of Directors - Chairperson 1 0 X 0 0 0 Charles Slone Ex-Officio Trustee/Board Member 1 0 X 0 0 0 J Thomas Hannon Honorary Trustee 1 0 X 0 0 0 Margaret Lynch Honorary Trustee 1 0 X 0 0 0 Damon Taseff Board Member-Vice Chairperson 1 0 X 0 0 0 Joseph Dailey Board Member 1 0 X 0 0 0 Theresa Dawson Board Member 1 0 X 0 0 0 Rosemary Eyerman Board Member 1 0 X 0 0 0 Cullen Hanlon Board Member - Treasurer 1 0 X 0 0 0 John Faulstich Board Member 1 0 X 0 0 0 Amelia V Llerena MD Board Member 1 0 X 0 0 0 Janet Gosche Board Member 1 0 X 0 0 0 Mark McGrievy Board Member 1 0 X 0 0 0 Karen McCarthy Board Member 1 0 X 0 0 0 Joseph Sciarrillo Board Member 1 0 X 0 0 0 Linda Sheehan Board Member - Secretary 1 0 X 0 0 0 Patricia Snowbrick Board Member 1 0 X 0 0 0 Peter P Jancar Board Member 1 0 X 0 0 0 Rick Meserini President/CEO Ex-Officio Board of Trustees 39 1 X 192001 0 32923 Francis Huba CFO 39 1 X 165601 0 15152 Anita Gerrasch Administrator 40 0 X 122003 0 15010 Colleen Wilson Director of Nursing 40 0 X 127180 0 14270 Kristin Graham Director of Hospice and Home Health Care 40 0 X 112467 0 5625 Jorge Palma Registered Nurse 67 0 X 116791 0 26351 Paul Stroney Physical Therapist 45 0 X 107738 0 14055 943781 213338 158456 9 0 1 0 MLG Electrical Services LLC 3055 Sackett Avenue Cleveland OH 44102 Electrical Contractor 116384 1 0 0 114413 1776647 0 2360538 0 4251598 Nursing Home Care 623110 21036313 21036313 0 0 Hospice Care 623110 6027216 6027216 0 0 Assisted Living Care 623000 2585450 2585450 0 0 Home Health Care 621610 954805 954805 0 0 Child Enrichment Care 624410 518646 518646 0 0 112639 112639 0 0 31235069 56466 56466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -1058 0 0 0 -1058 -1058 -1058 0 0 62381 114413 28262 34119 0 34119 0 0 0 0 0 0 0 0 0 0 0 0 Service Fees 561000 269320 269320 0 0 Dietary 722212 272588 272588 0 0 Miscellaneous 623110 33314 33314 0 0 80887 80887 0 0 656109 36232303 31946586 0 34119 0 0 0 0 0 0 0 0 367360 0 367360 0 0 0 0 0 19261033 17174065 1998132 88836 583374 510982 69516 2876 2786689 2432438 340529 13722 1440460 1261896 171823 6741 319744 150159 169585 0 4183 0 4183 0 44349 0 44349 0 0 0 0 0 0 0 0 0 0 0 791143 698210 92933 0 144305 0 98498 45807 610192 133626 444766 31800 232167 0 225413 6754 0 0 0 0 2302512 2296600 5912 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1133490 1133490 0 0 291711 290235 1476 0 Medical Supplies 2021683 2021683 0 0 Raw Food & Supplies 1553251 1553251 0 0 Bad Debt 424000 380000 44000 0 Bed Tax 1051641 1051641 0 0 13645 13645 0 0 35376932 31101921 4078475 196536 839095 756428 3403683 2728886 0 0 3926554 4523774 0 0 0 0 0 0 109659 109544 43264 44833 30557332 20755031 9148569 9802301 0 0 407383 398038 0 0 345000 345000 7263303 6644242 25486510 25353046 4883073 4551156 0 0 124385 145913 0 0 0 0 0 0 0 0 0 0 73950 73510 5081408 4770579 X 13182997 13930818 732483 792502 6489622 5859147 20405102 20582467 25486510 25353046 855371 -678006 0 0 0 0 X X 0 1 X 1 0 X 3345214 5501509 4100588 3313131 4251598 20512040 26744975 27179268 29942646 30773616 31924239 146564744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30090189 32680777 34043234 34086747 36175837 167076784 1278775 2859982 1691195 1428869 1776647 9035468 0 0 0 0 0 0 1278775 2859982 1691195 1428869 1776647 9035468 158041316 66382 22294 65579 61845 56466 272566 0 0 0 0 0 0 66382 22294 65579 61845 56466 272566 0 0 0 0 0 0 0 0 0 0 0 0 30156571 32703071 34108813 34148592 36232303 167349350 0.94438 0.94515 0.00163 0.00183 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 657383 13366 -22418 0 285 7 648039 630149 2835 24412 0 0 13 657383 624485 675 5022 0 0 33 630149 634648 1704 -11567 0 300 0 624485 628412 2309 3927 0 0 0 634648 0 1 0 0 1 1 0 0 0 0 17545168 9907127 7638041 0 4168 2154 2014 0 12410370 10516083 1894287 0 597626 329667 267959 9802301 Board Designated Funded Depreciation 1114962 Deposits 2809 Deffered Contributions 457B Plan 28788 Investments held in Perpetual Trust 5497683 6644242 0 Security Deposits 73510 73510 X Schedule D, Part V, Line 4 Board Designated net assets consist of Board controlled investments that have been raised for the support of the Manor. Permanently restricted endowment funds represent funds which are restricted as to use in perpetuity. Endowment Funds are appropriated based on an approval process through the Board of Directors. Specific committees recommend amounts to be disbursed from the accumulated earnings of the endowment funds, which are then approved for appropriation by the Board of Directors. Schedule D, Part X, Line 2 St. Augustine Manor adopted the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Manor may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of St. Augustine Manor and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties in income taxes, and accounting in interim periods. At December 31,2018, there were no unrecognized tax benefits identified or recorded as liabilities. Top 'O the Towers 2018 176794 114413 62381 2000 1329 4908 11286 3155 5584 0 0 176794 114413 62381 2000 1329 4908 11286 3155 5584 28262 34119 X X 0 0 0 0 0 0 0 0 0 Patrick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities 0 213338 0 0 0 0 0 13056 0 22014 0 248408 0 0 Rick Meserini President/CEO Ex-Officio Board of Trustees 192001 0 0 0 0 0 7528 0 25395 0 224924 0 0 0 Francis Huba CFO 165601 0 0 0 0 0 6447 0 8705 0 180753 0 0 0 Form 990, Part VI, Section A, Line 6 The Organization has 3 members 1.)The Board of Directors jointly and collectively 2.)The Secretariat of Catholic Charities Corporation and 3.)The Roman Catholic Bishop of the Diocese of Cleveland. Form 990, Part VI, Section A, Line 7a The members can be elected by the Secretariat and the Bishop, or deferred to the nominating committee of the Board of Directors to make recommendations for new Board members. Form 990, Part VI, Section A, Line 7b The Bishop and the Secretariat must approve appointment of new members to the Board of Directors as well as annual operating and capital budgets. The entity cannot sell or acquire real property without the approval of the Bishop and the Secretariat, nor may it take on long-term debt without their approval. Form 990, Part VI, Section B, Line 11b The 2018 Form 990 was prepared in-house on the same basis, and using the guidance provided by the independent accounting firm that prepared the 2011 Form 990. Prior to filling, Form 990 is reviewed by the Chief Financial Officer and the Chief Executive Officer. Form 990, Part VI, Section B, Line 12c All employees, including Officers, Directors, Trustees and Key employees are required to disclose interests that could give rise to conflict at the time of hire or appointment. They are then further instructed to notify the organization of any changes during their tenure that could be considered a conflict of interest. The disclosure must be signed by the employee and their supervisor. This is a required part of the annual employee evaluation process. Starting in 2014, annual disclosures of potential conflict of interest are required of Board members. No conflicts have been identified initially or subsequently. Form 990, Part VI, Section B, Line 15 The President/CEO's salary is set by the Secretariat of Catholic Charities Corporation within prescribed guidelines and is approved by the Bishop of the Diocese of Cleveland. All positions within the organization are scaled based on duties and responsibilities. Those scales are rated and evaluated by the Human Resources department using comparative salary and wage surveys from the not-for-profit Nursing Home Trade Association. Individual salaries are determined within the established pay range for each position. Form 990, Part VI, Section C, Line 19 The Organization makes its governing documents, conflict of interest policy and audited financial statements available to the public upon written request. Annual Form 990 is available through Guide Star. Form 990, Part XII, Line 2c The Organization has a committee that assumes responsibility for the oversight of the audit and selection of an Independent Accountant. This process has not changed during the year. St Augustine Service Corporation 7801 Detroit Avenue Cleveland OH 44102 341609330 Medical Services OH 501(c)(3) Line 9 N/A 0 Catholic Charities Corporation 7911 Detroit Avenue Cleveland OH 44102 341318541 Social Services OH 501(c)(3) Line 11A, I N/A 0 Rose-Mary Center 19350 Euclid Avenue Euclid OH 44117 341267579 Disability Care OH 501(c)(3) Line 1 N/A 0 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 This return is not late. St. Augustine Manor filed for an extension on May 2, 2019 and was awarded an automatic extension by the IRS until November 15, 2019.